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KRYSTAL MARIE MIRANDA IDC
NPI 1093377749
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since July 02, 2019
14, 34101 FARENHOLT AVE, SAN DIEGO, CA 92134(619) 532-7968 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Krystal Marie Miranda Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL MARIE MIRANDA IDC (NPI 1093377749) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1093377749
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameKRYSTAL MARIE MIRANDACredential: IDC
Location Address14, 34101 FARENHOLT AVESan Diego, CA 92134-0001
Mailing Address14, 34101 Farenholt AveSan Diego, CA 92134-0001
Phone(619) 532-7968
Sole ProprietorNo
Enumeration DateJuly 2, 2019
✔ NPI 1093377749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
14, 34101 FARENHOLT AVE, San Diego, CA 92134
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GILBERT FLORES
Military Health Care Provider (Independent Duty Corpsman)
14, 34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
ALEXANDER HERNANDEZ
Military Health Care Provider (Independent Duty Corpsman)
14, 34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Miranda's NPI number?

The NPI number for Krystal Miranda is 1093377749. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Krystal Miranda located?

Krystal Miranda practices at 14, 34101 Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 532-7968.

What is Krystal Miranda's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Krystal Miranda was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.